HomeMy WebLinkAboutMortgage_Kayser as... (0„........ \1(..\ , \ (i? ,04 000 . 00f e00
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
g FOR DEDUCTION FROM ASSESSED VALUATION Gibson D1= -7 2022
State Form 43 (R14/
Prescribed byy Department ant
of Local Government Finance File Mark
INSTRUCTIONS: To be Ned In person or by mail. Form Tiled with:
Filing Date: Form must be completed and dated In the calendar year for which the deduction is sought 63 County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property County Recorder
Is located on or before January 5 of the calendar year in which the properly taxes are first due and payable.
CI See reverse side for additional instructions and qualifications.
Applicant(owner or,,,,me act buyer-see restdcdons on reverse side)
Kellie Kayser
Taxing District Key number/legal description Record number� Page number
Oakland City 26-14-18-104-000.001-007 I NW ENLG 4/5 PT BLK 7 �p'
Assessed value of real property as of -- Mortgage I Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the
applicant
r giantt the
ssoole
assessment date,current year assessment date,current year date of application
$0.00 $61.655.00 ,Xl Yes ❑No
If no,what is Ns/her exact share of interest? If owned with someone other than spouse,Indicate with whom
If name on record Is different then that of applicant indicate below Is the properly in question:Annually Asme=aed
❑Real Property 0 Annually Assessed
J•, Mobile Home(IC 6-1.1-7)
Name mortgageeofcontract sayer F
ILED
RocketMor Mortgaagea,LLC
Address of mortgagee or contract seller(number and street,cry,state,and ZIP code)
1050 Woodward Avenue,Detroit,MI 48226
Name of assignee or other owner or holder of mortgage rt(yryr')ULL
Address of assignee(number and street city,state,end ZIP cods) FEB L 1//
Or
Does applicant own property In ei]yr"''if yes'what county? What Taxing District? Has this deduction been stied If yes,state amount of deduction /
other county 1,P�w�!�" on property for es ❑No 4Y,/1.//••.
In Indiana? ❑Yes o current year?
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness the s AUDOR
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the detARSO
COUNTY AUDITOR
Deduction approved In the amount oh
20 20 20 20 20 20 �2a)0y�y[�
Signer __ ( -- `%%;. / County Date(mcn c l i r,c2c)
/plow:'yTMpou`rnj'q', +r�'v sMl1r-.- �/7c�J Gibson
I/We certify under penalty of perjury that the above and foregoing information Is true and correct and that the applicant Is a real nt of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
a noire(o er'a rrfl ) Date.(4ontt.fliarr year
Fu6-resident address oyappllcant(number and street,(Sty,state,and ZIP code)
326 W.Vine St.,Oakland City,IN 47660 Data(norm,,day,year)
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7
Address of auarorlcad person(tramcar and street city,state.and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed Sf0,000.
RECEIPT FOR FILING STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant Name of mortgagee or contract seller
Kellie��Ka//yseLm9nWWr� Rocket Mortgage,LLC
Date
C Amount of indebtedness Taxing District
$61,655.0o O L ,
Key number/legal description
■■
26-14-18-11°0'�4:-��0'00.001-007/NW°ENLG 4/5 PT BLK � county Deter(month,day,year) Q 202 /////
sig'''aj��r rlM� d ittjg � Ll+ Gibson FEBf GO 2 Q '11
/h a ace r Gib /-r` =�
GIBSON COUNTY AUDITOR